Octavia Cooper BSN, RN

NPI 1104192236 - Registered Nurse - 163WC0400X

NPI Details
NPI 1104192236
Gender Female
Enumeration Date 03/22/2012
Last Updated 03/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1930 S BROAD ST
PHILADELPHIA PA, 19145-2328, US
Phone (215) 339-4343
Fax
Business Location
5 FIR CT
SICKLERVILLE NJ, 08081-2118, US
Phone (856) 228-8545
Fax
Toxanomy
Taxonomy Code 163WC0400X
License State Pennsylvania
License Number RN-322666L
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According to our database, Octavia Cooper BSN, RN NPI is 1104192236, taxonomy code is 163WC0400X and license number is RN-322666L, license state is located at Pennsylvania. Octavia Cooper BSN, RN physically located at 1930 S Broad St, Philadelphia PA, 19145-2328. NPI Number Octavia Cooper BSN, RN has the Individual type.

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1104192236 NPI number is provided on an as is basis without warranty of any kind. 1104192236 is maintained by the National Plan & Provider Enumeration System. The contents of Octavia Cooper BSN, RN are for informational purposes only.